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ql~~ <br />ANNT1Ai, FF.F, and RF,PnRT RF.niTF,ST <br />PERMITTEE NAME: Central Aggregates, Ine. 13ECE1VED <br />PERMTF NO.: M-1981-006 ~ 1!MAY p 1 2006 <br />OPERATION NAME: West Rifle Pit t' p(y(alon ~f Minerals and 6eolo~y <br />ANNIVERSARY DATE: April 27, 2006 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Garfield <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />___ shall submit the annual fee a report and map~li4_w_ing._the_ext_e^t ~~cunent_disturbances_to_affected_land,_ -_ <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach ynnr revised written annual r ~nrt and anmial re~nnrt man to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Gilbert T. Lee <br />Permittee Name: Central Aggregates, Inc. <br />Address: P.O. Box 1877 <br />Phone Number: <br />Fax Number: <br />Rifle, CO 81650 <br />(970)625-3598 <br />(970) 625221 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />~~ <br />Signature,.of Corporate fficer, Owner, or Designee <br />y-da-off <br />Date <br />